Billing Manager

1 week ago

Dearborn, United States Dearborn Cardiology Full time
Job DescriptionJob Description

Our practice is growing and we are in need of an experienced Billing Manager who is certified in both billing and coding (highly preferred).

We are a busy cardiology practice with 4 locations (Dearborn, Taylor, Berkley, and Rochester) and 9 providers. This position is located at our main office in Dearborn.

The ideal candidate is a natural driven leader who is reliable, has a positive attitude, and great work ethic.

Responsibilities include:

  • Managing a small team of billers and coders
  • Insurance and Hospital Credentialing
  • Managing provider CAQH
  • Responsible for reviewing, correcting, and releasing eClinical Works charges
  • Demonstrate strong understanding and utilization of clearinghouse claims tool and clearinghouse rejection queues
  • Responsible for researching, correcting, and releasing accounts within Claim Edit Billing Work queue
  • Demonstrate comprehension and implementation of claim appeal process
  • Knowledge of insurance processes and Medicare rules and guidelines
  • Identify insurance company or proper party (patient) to be billed including identifying and billing secondary or tertiary insurances
  • Review assigned accounts within the billing platform Follow Up and Catch All WQs ensuring outstanding, pending, partially paid, and denied claims are paid in a timely manner
  • Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment
  • Accurately file confidential correspondence and documentation
  • Review, research, and process refund requests as needed
  • Demonstrate knowledge of CPT, ICD10 and procedural modifiers
  • Consult with supervisor, team members and appropriate resources to solve billing and collection questions and issues
  • Strictly comply with the Health Insurance Portability and Accountability Act (HIPAA) in protecting patient privacy and federal and state regulations
  • Additional job-related duties or projects as needed

WE OFFER EXCELLENT BENEFITS INCLUDING COMPETITIVE WAGES (SALARY COMMENSURATE WITH SKILLS AND EXPERIENCE) HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, FLEXIBLE HOURS, AND 401K.

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